WARNING
This guidance is under active development by NHS England and content may be added or updated on a regular basis. The implementation guide is currently in draft and SHOULD NOT be used for development or implementation without consulting the NHS England Pathology Standards and Implementation team.PATH-R4-25: Observation Example - Lymphocyte Count
An example of a quantitative test result combined with an interpretation:
- Lymphocyte count: 0.70 10*9/L LOW
<Observation xmlns="http://hl7.org/fhir"> <id value="Pathology-Observation-Lymphocyte-Example" /> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="2af46949-4938-4c57-bad4-c4363e1965d5" /> </identifier> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="laboratory" /> <display value="Laboratory" /> </coding> </category> <code> <!-- Equivalent codes from the PBCL and PaLM SNOMED CT reference sets are used in this example. --> <!-- In practice, it is likely that only a code from one reference set will be carried. --> <coding> <!-- From PBCL observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="1022581000000105" /> <display value="Lymphocyte count" /> </coding> <coding> <!-- From PaLM observable entity reference set --> <system value="http://snomed.info/sct" /> <code value="67541000237108" /> <display value="Lymphocyte count in blood" /> </coding> </code> <subject> <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" /> <display value="MOXEY, Judy" /> </subject> <issued value="2022-02-09T11:17:00+00:00" /> <performer> <reference value="urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338" /> <display value="TD008362 PATH LAB 001" /> </performer> <valueQuantity> <value value="0.70" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </valueQuantity> <interpretation> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" /> <code value="L" /> <display value="Low" /> </coding> </interpretation> <specimen> <reference value="urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" /> </specimen> <referenceRange> <low> <value value="1.00" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </low> <high> <value value="3.00" /> <unit value="10*9/L" /> <system value="http://unitsofmeasure.org" /> <code value="10^9/L" /> </high> </referenceRange> </Observation>
{ "resourceType": "Observation", "id": "Pathology-Observation-Lymphocyte-Example", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab" ] }, "identifier": [ { "system": "https://tools.ietf.org/html/rfc4122", "value": "2af46949-4938-4c57-bad4-c4363e1965d5" } ], "status": "final", "category": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" } ] } ], "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1022581000000105", "display": "Lymphocyte count" }, { "system": "http://snomed.info/sct", "code": "67541000237108", "display": "Lymphocyte count in blood" } ] }, "subject": { "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4", "display": "MOXEY, Judy" }, "issued": "2022-02-09T11:17:00+00:00", "performer": [ { "reference": "urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338", "display": "TD008362 PATH LAB 001" } ], "valueQuantity": { "value": 0.70, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "interpretation": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "code": "L", "display": "Low" } ] } ], "specimen": { "reference": "urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d" }, "referenceRange": [ { "low": { "value": 1.00, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" }, "high": { "value": 3.00, "unit": "10*9/L", "system": "http://unitsofmeasure.org", "code": "10^9/L" } } ] }
Observation.id[0] | Pathology-Observation-Lymphocyte-Example |
Observation.meta[0].profile[0] | https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation-Lab |
Observation.identifier[0].system[0] | https://tools.ietf.org/html/rfc4122 |
Observation.identifier[0].value[0] | 2af46949-4938-4c57-bad4-c4363e1965d5 |
Observation.status[0] | final |
Observation.category[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/observation-category |
Observation.category[0].coding[0].code[0] | laboratory |
Observation.category[0].coding[0].display[0] | Laboratory |
Observation.code[0].coding[0].system[0] | http://snomed.info/sct |
Observation.code[0].coding[0].code[0] | 1022581000000105 |
Observation.code[0].coding[0].display[0] | Lymphocyte count |
Observation.code[0].coding[1].system[0] | http://snomed.info/sct |
Observation.code[0].coding[1].code[0] | 67541000237108 |
Observation.code[0].coding[1].display[0] | Lymphocyte count in blood |
Observation.subject[0].reference[0] | urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4 |
Observation.subject[0].display[0] | MOXEY, Judy |
Observation.issued[0] | 2022-02-09T11:17:00+00:00 |
Observation.performer[0].reference[0] | urn:uuid:8a6d85b8-9837-4fed-a257-4cf207988338 |
Observation.performer[0].display[0] | TD008362 PATH LAB 001 |
Observation.value[0].value[0] | 0.70 |
Observation.value[0].unit[0] | 10*9/L |
Observation.value[0].system[0] | http://unitsofmeasure.org |
Observation.value[0].code[0] | 10^9/L |
Observation.interpretation[0].coding[0].system[0] | http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation |
Observation.interpretation[0].coding[0].code[0] | L |
Observation.interpretation[0].coding[0].display[0] | Low |
Observation.specimen[0].reference[0] | urn:uuid:bab0eaec-1ec5-4598-b660-90bb38a1030d |
Observation.referenceRange[0].low[0].value[0] | 1.00 |
Observation.referenceRange[0].low[0].unit[0] | 10*9/L |
Observation.referenceRange[0].low[0].system[0] | http://unitsofmeasure.org |
Observation.referenceRange[0].low[0].code[0] | 10^9/L |
Observation.referenceRange[0].high[0].value[0] | 3.00 |
Observation.referenceRange[0].high[0].unit[0] | 10*9/L |
Observation.referenceRange[0].high[0].system[0] | http://unitsofmeasure.org |
Observation.referenceRange[0].high[0].code[0] | 10^9/L |